Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2014-01-06
- Stop
- 2014-01-07
The parties
- Patient
- patient Corrina Joyce Shanahan
- Provider
- provider Liz Kozey
- Payer
- payer Anthem
Record id
21b692df-92b8-fcf1-d0c7-c81932c18a03